SOUTH BRANDON IMAGING LLC NPI 1114002094

NPI Information

NPI: 1114002094
Provider Name: SOUTH BRANDON IMAGING LLC

Doing Business As: TOTAL IMAGING OF ROBERTSON

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
737 W BRANDON BLVD
BRANDON, FL
ZIP 33511
Phone: (813) 657-7575
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SOUTH BRANDON IMAGING LLC is a diagnostic radiology radiology in Brandon, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTH BRANDON IMAGING LLC NPI is 1114002094. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Total Imaging Of Robertson.

The provider's business location address is:

737 W BRANDON BLVD
BRANDON, FL
ZIP 33511-901
Phone: (813) 657-7575
Fax: (813) 684-3040

The provider's authorized official is Lavelle Hardin .
The authorized official title is Enrollment and has the following contact phone number (615) 344-8203.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 3/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00273457	OTHER	FLORIDA	RR MEDICARE
2	K7282	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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